Posted in Fibroid Relief News

Long term effectiveness of hysterectomy: a focus on the aging patient

Posted in Fibroid Relief News

Abstract of Forsgen C and Altman D. Long term effects of hysterectomy: focus on aging patient. Aging Health (2013)9(20) 179-187 and Medscape

Hysterectomy is the second most common major surgical procedure performed in women worldwide and almost one in three women in the USA have undergone a hysterectomy by the age of 60 years. The vast majority of hysterectomies are performed on benign indications (such as uterine fibroids) to improve quality of life, and the surgical procedure is generally associated with few complications. However, in recent years, an increasing number of studies have shown long-term adverse effects of hysterectomy on the pelvic floor and some studies have demonstrated unwanted effects on other health aspects. Long-term effects of hysterectomy on the muscular area in the lower part of the abdomen, attached to the pelvis that should be considered in surgical decision-making are:

pelvic organ prolapse

urinary incontinence

bowel dysfunction

sexual function

pelvic organ fistula formation

These outcomes are particularly relevant as life expectancy has increased and secondary conditions may occur a long time after the surgical procedure and severely impair quality of life.

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